RESPONSIBILITIES:
• Documentations:
• Developing SOPs, Manuals, policies & procedure for the departments across the units.
• Keeping the track of all SOP’s and Record of all updating.
• Ensuring the document control of all SOP, Manual, forms & Formats of the unit in co
- ordination with central Quality Team.
• To ensure yearly review & updating of All SOP, Manuals, Policies & procedure.
• Keep record of the forms & formats and ensure correct numbering of the same.
• Ensure that no obsolete document is available in the department.
• Identification of current documentation requirement and completion of the same in coordination with the department within 15 days from the time of request raised
• Implementation of Quality standards across the health center:
• Identification of the gaps and implementation within one month of post identification in co-ordination of the departmental Heads.
• Ensure Implementation of Quality standards across the unit in coordination with the On-site health center Leadership Team.
• Monitor ongoing medical education programs (together with the GP) on a monthly basis;
• Audits:
• Monthly Quality Audits
• Ensure at least 6 monthly Internal Audit by the unit Team.
• Ensure successful completion of Cross audits & corporate audits.
• Ensure Successful completion of External audits by accreditation bodies.
• To be the point of contact and primary coordinator for Audits by accreditation bodies.




• To ensure closure of all deficiencies pointed out by external audits within the defined timeframe.
• To ensure the uploading of correct, appropriate and verified document in the portal of accreditation bodies for desktop/virtual/hybrid audits and non-compliance closure.
• Quality Indicators:
• Developing quality indicators in line with the quality policy and as per requirements of accreditation standards.
• Ensure timely collection and submission of quality improvement data to the central Quality Team.
• Ensure the correctness of the data and proper verification of data before submission.
• Ensure timely resolution of any queries pertaining to the submitted data.
• Ensure capturing of indicator data from HIS / software tool.
• Quality Improvement Projects:
• To ensure the conduct of quality improvement projects using appropriate tools. The minimum number of such projects shall be as defined by the central quality team.
• Committee Meetings:
• Ensure the committee meetings as per TOR and Committee audit once annually
• Mock Drills:
• Ensure that Mock drills are being done as per schedule and timely action has been taken.
• Training:
• To train the Health center in NABH policies & procedures.
• Statutory Compliance:
• To maintain all statutory compliances & remind all process owners 3 months prior to the expiry of license
• Other

Responsibilities:
• Other responsibilities assigned by IMD

📌 Quality Executive (Bengaluru)
🏢 Manipal Hospitals (MHEL)
📍 Bengaluru